Suzanne Shana Bayder, RD LD/N

Primary specialty

NutritionistTaxonomy code 133N00000X

License

ND3163 Issued in FL

Practice address

1665 Palm Beach Lakes Blvd Suite B-900
Palm Beach Countyhealth Dept.
West Palm Beach, FL 33401

Phone

(561) 681-2524

Fax

(561) 681-2501

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shana Bayder Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992890776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTHERN CROSS CIRCLE # 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-681-2524",
            "fax_number": "561-681-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD SUITE B-900",
            "address_2": "PALM BEACH COUNTYHEALTH DEPT.",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-681-2524",
            "fax_number": "561-681-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYDER",
        "first_name": "SUZANNE",
        "middle_name": "SHANA",
        "name_prefix": "Ms.",
        "credential": "RD LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "BAYDER",
            "prefix": "MS.",
            "credential": "RD LD/N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Laura Lucia Bauza Rodriguez
• Bay Area Consortium of Anesthesia Services of Florida, LLC
• Marisela Bayona
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• Nagham Mahmoud Bazyan
• BCG Health Care Management, Inc.

• Nutritionist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.